College of Southern Idaho

Teacher Education Program

Student Questionnaire

Name: Kazley Montgomery

Major: (if you are a secondary education major, please identify the subject area, e.g., Secondary Ed-
Math) Secondary Special Education

CSI Graduation Date: May 12, 2017

Have you applied for CSI graduation? Yes

Transfer Institution:
Idaho State University

Transfer Date: Fall of 2017

Have you completed transfer application materials? Yes

We would like to contact you in the future. Please provide the following:

Address: 4486 Silver Lakes Road

City & State: Buhl Idaho

Zip code: 83316

Phone:208-358-2893

Email:kazleysmontgomery@eaglemail.csi.edu